At the end of Christmas time I settled down to watch what I thought would be one of those typical Channel 4 documentaries called Britain’s Fattest Man. If you missed it the documentary was about Paul Mason who became the world’s heaviest man weighing in at over 440kg (that’s 70 stone or 980lb for all you imperialists)! Not to go through the whole documentary but in essence it was very sad, Paul became this size after suffering a series of devastating blows in his life before becoming addicted to food. He was bedridden and required carers to wash and feed him. Paul was desperate enough to go for a gastric bypass (a procedure that shrinks the available stomach size) which enabled him to shed 120kg in just a matter of months.
You may ask why I am bothering to blog about this, I had no plans to. It was merely one of those stories we hear about and perhaps relay in a shocked tone to others. The thing that really got me about this documentary was the way people treated Paul. Other than receiving hate mail I was dismayed to see a wealth of articles both online and in newspapers lamenting the cost of Paul’s care and medical treatment. Per year Paul costs slightly over £100,000 to the NHS and over the fifteen or so years Paul has needed this care he has topped over £1,000,000. Reading through some comments online I couldn’t believe the amount of people who were advocating Paul either not receiving this care or not deserving it. This is a bit of a problem for me, I believe in social healthcare. I think medicine should be a right not a privilege. There’s two dangerous mentalities here, one is that if you don’t contribute you don’t deserve (ridiculous, what about students, mentally ill, prisoners and those down on their luck) and the other is that if you did it to yourself you don’t deserve help. To me that’s a pretty slippery slope to start on.
It is possible to go through your whole life without smoking or exposing yourself to any airborne carcinogens and still get lung cancer. The following numbers aren’t real but they illustrate a real point; out of 100 non smokers 20 get lung cancer and out of 100 smokers 60 get lung cancer. Now out of those 60 smokers with cancer 1 in 3 could have contracted the disease independent of their smoking. If we adopt the mentality of “you don’t deserve healthcare if you did it to yourself” we have to deny or charge for care for 40 of them. But it’s impossible to tell! Do we just deny all of them because they took a risk? Even though every third man didn’t cause it themselves? This principle is very damaging and whilst I don’t condone Paul Mason eating himself to that size I certainly don’t think he is any less deserving than a healthy taxpaying member of society. The whole philosophy of social healthcare is that those who can contribute so that all can receive any and every medicine or treatment that they require.
What do you think? Is Paul justified in receiving medical treatment? At the end of the day would you rather live in a society which takes care of those in need or one that dismisses those who can’t help themselves?